About ATM
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is uncertain. Select a step to read what it means.
Uncertain.The recorded classification is uncertain significance.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is ClinGen ATM VCEP v1.5.0. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
PM2_supporting applies under the VCEP fallback rule: although the global gnomAD v4.1 allele frequency (0.00161%, 26/1,614,000 alleles) exceeds the primary threshold of ≤0.001%, the variant is observed at n=1 in a single subpopulation (East Asian, AC=1, AN=44,878), which meets the VCEP criterion that a single-allele subpopulation occurrence is sufficiently rare to warrant PM2_supporting.
No benign criterion marked as applied in the recorded assessment.
Richards et.al., 2015 - Combining rules v1.5.0 criteria-combination framework was evaluated deterministically with applied criteria: PM2 supporting; no rule matched the adjudicated criteria.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 26 / 1,614,000 alleles. Recorded AF 1.6109e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 1.19403e-05; MAF= 0.00119%, 3/251250 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 5.44484e-05; MAF= 0.00544%, 1/18366 alleles, homozygotes = 0); grpmax FAF= 2.92e-06.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
11 Uncertain significance. ClinVar API review status: criteria provided, multiple submitters, no conflicts.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. ATM, a kinase involved in the DNA damage response, is mutated in various solid and hematologic malignancies.
This variant has previously been reported in somatic cancers (COSMIC; COSV104592374, n = 5 times).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen ATM VCEP v1.5.0, with the data and sources behind each one.
27 criteria with recorded statuses: 1 met · 10 not met · 0 not assessed · 16 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000051.4:c.7357C>T (p.Arg2453Cys) is a missense variant in ATM exon 50, observed at very low frequency in population databases (gnomAD v4.1: 26/1,614,000 alleles, AF = 0.00161%; gnomAD v2.1: 3/251,250 alleles, AF = 0.00119%).
The variant meets PM2_supporting per the ClinGen HBOP VCEP v1.5.0 fallback rule: although global gnomAD v4 frequency (0.00161%) exceeds the primary threshold of ≤0.001%, the variant is observed at n=1 in the East Asian subpopulation, which is sufficiently rare to warrant supporting-level evidence for pathogenicity.
No pathogenic or likely pathogenic missense comparator at p.Arg2453 has been established (PS1 not met). REVEL score of 0.457 does not meet the VCEP PP3 threshold (>0.7333) or the BP4 threshold (≤0.249). SpliceAI predicts no splicing impact (max delta = 0.00).
No variant-specific functional assay data (PS3/BS3) or segregation data (PP1) are available. The VCEP functional assay reference tables do not include this variant. The VCEP Suppl Table S1 (PMID 40580951) classifies the variant as 'Functional' with high confidence based on combined in silico scores, but computational predictions alone do not constitute experimental functional evidence sufficient for PS3.
The variant has been reported in ClinVar as Uncertain Significance by 11 clinical laboratories (ClinVar Variation ID: 230366). No expert panel classification has been assigned. No peer-reviewed publication was identified that directly mentions NM_000051.4:c.7357C>T.
The variant has been reported in COSMIC (COSV104592374, n=5) in somatic cancers, but this observation does not independently support germline pathogenicity classification under the HBOP VCEP framework.
Applying the ClinGen HBOP VCEP v1.5.0 final classification rules (Richards et al. 2015 combining criteria), only PM2_supporting is met, with no benign criteria met. This does not reach the threshold for Likely Pathogenic (requires ≥2 supporting + ≥1 moderate, or ≥3 moderate, etc.) nor Likely Benign (requires ≥2 supporting benign). The variant is classified as Uncertain Significance.
No criteria match.
No further detail was recorded.
No further detail was recorded.
Every interpreted variant in ATM, mapped onto the exon structure of NM_000051.4. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| East Asian1 / 44,878 | 2.2e-05 |
| European (non-Finnish)24 / 1,180,004 | 2e-05 |
| Remaining individuals1 / 62,486 | 1.6e-05 |
| East Asian1 / 18,366 | 5.4e-05 |
| European (non-Finnish)2 / 113,584 | 1.8e-05 |
This variant is present in gnomAD v4.1 (AF= 1.6109e-05; MAF= 0.00161%, 26/1614000 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 2.22826e-05; MAF= 0.00223%, 1/44878 alleles, homozygotes = 0); grpmax FAF= 1.376e-05.
This variant is present in gnomAD v2.1 (AF= 1.19403e-05; MAF= 0.00119%, 3/251250 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 5.44484e-05; MAF= 0.00544%, 1/18366 alleles, homozygotes = 0); grpmax FAF= 2.92e-06.
Absent from gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.457. BayesDel score = -0.245392.
8 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata. None of the listed paper records explicitly indicates that the variant is named.
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 1.6109e-05; MAF= 0.00161%, 26/1614000 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 2.22826e-05; MAF= 0.00223%, 1/44878 alleles, homozygotes = 0); grpmax FAF= 1.376e-05.
This variant is present in gnomAD v2.1 (AF= 1.19403e-05; MAF= 0.00119%, 3/251250 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 5.44484e-05; MAF= 0.00544%, 1/18366 alleles, homozygotes = 0); grpmax FAF= 2.92e-06.
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Uncertain significance (11 clinical laboratories). (ClinVarID = 230366)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.457. BayesDel score = -0.245392.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. ATM, a kinase involved in the DNA damage response, is mutated in various solid and hematologic malignancies.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV104592374, n = 5 times).
This variant does not lie in a statistically significant hotspot.